In workers’ compensation cases, a medical issue in disagreement or with a difference of opinion, such as an objection to a medical determination made by a treating physician concerning the employee’s medical condition, cause of the condition, or treatment for the condition. Other issues might be the existence, nature, duration, or extent of temporary or permanent disability caused by the employee’s medical condition or the employee’s medical eligibility for rehabilitation services.
Tag: MEDICAL
Distress termination
To close a pension plan that does not have sufficient funds to cover the benefits to which the plan’s participants are entitled.
Distribution
Separation of all prospective or presently insureds in group insurance plans by age, sex, location, income, status of dependency, and benefits for the purpose of computing premium rates.
Distribution channels
Various ways health plans and medical services are delivered such as insurance agents and brokers, pharmacies, pharmaceutical companies for drugs, and physicians.
Distribution expenses
Overhead costs in making insurance products available to the general public such as insurance agent compensation, group sales representatives’ salaries, postage, printing, and telecommunications for direct response marketing.
Distribution list
See: list service (listserv) .
Distribution system
An insurance company’s network of organizations and individuals who perform all the marketing activities to convey an insurance product from an insurer to the consumers.
Divestiture
Act of a medical supplier to sell part or all of its assets either by court order or voluntarily.
Dividend
MEDICAL,USA: 1. Refund of excess premium paid to the owner of an individual participating life insurance policy. It reflects the difference between the premium charged and actual experience. Also called policy dividend or policy owner dividend . 2. Part of a group insurance premium that is returned to a group policyholder that has a better claims experience than had been projected when the premium was calculated. Also called experience rating refund, experience refund , and retroactive rate reduction . 3. In a mutual or participating company, it is quarterly or annual payments by a business to a stockholder. Dividends paid in cash are called cash dividends . Dividends paid with shares of stock are called stock dividends .
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A refund of part of the premium on a participating policy a share of policyholder surplus funds apportioned for distribution.
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US: A return of part of the premium on participating insurance to reflect he difference between the premium charged and the combination of actual mortality, expense and investment experience. Such premiums are calculated to provide some margin over the anticipated cost of the insurance protection.
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The return of party of the policy’s premium for a policy issued on a participating basis by either a mutual or stock insurer. A portion of the surplus paid to the stockholders of a corporation.
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When an insurer returns part of the premium paid by an insured for a policy, or a part of a surplus paid to each stockholder in a company.
Dividend accumulations
Policy dividend funds left on deposit with the insurer. Also called dividend credits .